Cortifoam side effects?

Hi everyone,

This is my first post here, but I am glad such a resource exists.

I just started flaring (worse than ever) and have a doctor's appointment later on today. I think he'll suggest cortifoam or a steroid enema. I have thankfully avoided steroids up until now.

My question is, how likely are rectal steroids to cause side effects? In the short term, I am worried about not sleeping, weight gain, moon face, mood/anxiety...and I know there are worse side effects for longer use. What are people's experience with being on these drugs in the short term? In the long term?

One MD I spoke with said that they aren't really absorbed into the bloodstream, so side effects are rare, but the drug definitely lists severe possible side effects...What do YOU guys say?

I was diagnosed with proctitis in December 2009 and spent about a year with symptoms (trying Rowasa, Asacol, and Canasa). Finally, the Canasa worked, and I have been almost symptom free for 2 years, although I can't miss a Canasa dose. But alas, now the symptoms are back - I knew this day would come, but I want to take the right next step so it doesn't get worse.

Thanks everyone!

Cortifoam is preferable to oral steroids, but most people will still absorb some of the steroid from the foam, so you may see some side effects like weight gain.

Do you live outside the U.S.? If so entocort enemas may be an option. They are steroid too, but the type of steroid used is cleared from the body quickly once it enters the blood stream.

Cortifoam only contains 10% steroid; it is much lower in dosage than the liquid steroid retention enemas. It's also more convenient to use. Don't be afraid of it! As pb4 says, you are very unlikely to experience side effects from it. Keep in mind that it can definitely speed healing in the rectum, and it's neater to use than suppositories which can ooze greasy residue out one's butt a couple hours after insertion. / Old Hat (31 yrs with left-sided UC; presently in remission taking brandname Colazal)